Surgical approaches to the petrous apex

The petrous apex is a difficult to reach surgical area due to its deep position in the skull base and many vital surrounding structures. Petrous apex pathology ranges from extradural cholesterol granulomas, cholesteatomas, asymmetric pneumatization, and osteomyelitis to intradural meningiomas and sc...

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Autores principales:	Kevin L. Li, Vijay Agarwal, Howard S. Moskowitz, Waleed M. Abuzeid
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2020
Materias:	Petrous apex Anterior approaches Endoscopic endonasal approach Lateral approaches Surgical approaches Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/08597ed89d7a4906ae1f6a3b30193f21
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id	oai:doaj.org-article:08597ed89d7a4906ae1f6a3b30193f21
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spelling	oai:doaj.org-article:08597ed89d7a4906ae1f6a3b30193f212021-12-02T13:35:05ZSurgical approaches to the petrous apex2095-881110.1016/j.wjorl.2019.11.002https://doaj.org/article/08597ed89d7a4906ae1f6a3b30193f212020-06-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881119301271https://doaj.org/toc/2095-8811The petrous apex is a difficult to reach surgical area due to its deep position in the skull base and many vital surrounding structures. Petrous apex pathology ranges from extradural cholesterol granulomas, cholesteatomas, asymmetric pneumatization, and osteomyelitis to intradural meningiomas and schwannomas. Certain lesions, such as cholesterol granulomas, can be managed with drainage while neoplastic lesions must be completely resected. Surgical options use open, endoscopic, and combined techniques and are categorized into anterior, lateral, and posterior approaches. The choice of approach is determined by the nature of the pathology and location relative to vital structures and extension into surrounding structures and requires thorough preoperative evaluation and discussion of surgical goals with the patient. The purpose of this state-of-the-art review is to discuss the most commonly used surgical approaches to the petrous apex, and the anatomy on which these approaches are based.Kevin L. LiVijay AgarwalHoward S. MoskowitzWaleed M. AbuzeidKeAi Communications Co., Ltd.articlePetrous apexAnterior approachesEndoscopic endonasal approachLateral approachesSurgical approachesOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 6, Iss 2, Pp 106-114 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Petrous apex Anterior approaches Endoscopic endonasal approach Lateral approaches Surgical approaches Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Petrous apex Anterior approaches Endoscopic endonasal approach Lateral approaches Surgical approaches Otorhinolaryngology RF1-547 Surgery RD1-811 Kevin L. Li Vijay Agarwal Howard S. Moskowitz Waleed M. Abuzeid Surgical approaches to the petrous apex
description	The petrous apex is a difficult to reach surgical area due to its deep position in the skull base and many vital surrounding structures. Petrous apex pathology ranges from extradural cholesterol granulomas, cholesteatomas, asymmetric pneumatization, and osteomyelitis to intradural meningiomas and schwannomas. Certain lesions, such as cholesterol granulomas, can be managed with drainage while neoplastic lesions must be completely resected. Surgical options use open, endoscopic, and combined techniques and are categorized into anterior, lateral, and posterior approaches. The choice of approach is determined by the nature of the pathology and location relative to vital structures and extension into surrounding structures and requires thorough preoperative evaluation and discussion of surgical goals with the patient. The purpose of this state-of-the-art review is to discuss the most commonly used surgical approaches to the petrous apex, and the anatomy on which these approaches are based.
format	article
author	Kevin L. Li Vijay Agarwal Howard S. Moskowitz Waleed M. Abuzeid
author_facet	Kevin L. Li Vijay Agarwal Howard S. Moskowitz Waleed M. Abuzeid
author_sort	Kevin L. Li
title	Surgical approaches to the petrous apex
title_short	Surgical approaches to the petrous apex
title_full	Surgical approaches to the petrous apex
title_fullStr	Surgical approaches to the petrous apex
title_full_unstemmed	Surgical approaches to the petrous apex
title_sort	surgical approaches to the petrous apex
publisher	KeAi Communications Co., Ltd.
publishDate	2020
url	https://doaj.org/article/08597ed89d7a4906ae1f6a3b30193f21
work_keys_str_mv	AT kevinlli surgicalapproachestothepetrousapex AT vijayagarwal surgicalapproachestothepetrousapex AT howardsmoskowitz surgicalapproachestothepetrousapex AT waleedmabuzeid surgicalapproachestothepetrousapex
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Surgical approaches to the petrous apex

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